| NPI | 1558463083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C51455) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 151969-1) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101056534) | |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2007-07-08 |